Gulf Coast Kidney Center Inc

NPI 1417983693 - Clinic/Center - 261QE0700X

NPI Details
NPI 1417983693
Enumeration Date 06/23/2006
Last Updated 05/20/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEVEN STEVEN
Position VICE PRESIDENT
Phone (727) 848-0106
Fax (727) 848-7943
Practice Location
9332 STATE ROAD 54
SUITE 306
TRINITY FL, 34655-1810, US
Phone (727) 848-0106
Fax (727) 848-7943
Business Location
19559 NE 10TH AVE
N MIAMI BEACH FL, 33179-3501, US
Phone (305) 651-3261
Fax (305) 651-2961
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Gulf Coast Kidney Center Inc NPI is 1417983693, taxonomy code is 261QE0700X Gulf Coast Kidney Center Inc physically located at 9332 State Road 54, Trinity FL, 34655-1810. NPI Number 1033115704 has the healthcare provider type.

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1417983693 NPI number is provided on an as is basis without warranty of any kind. 1417983693 is maintained by the National Plan & Provider Enumeration System. The contents of Gulf Coast Kidney Center Inc are for informational purposes only.